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BOARD OF DIRECTORS
BUSINESS MINUTES Dale August 22,
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M, O}Neal, M. D.; James S. Sargent, M. D. ; Jack C. Shelton, M. D.; and Ronald J.
Washington, M,.D. The amended Bylaws have been approved by the Medical Staff and
will be presented to the 'Board for approval, The Medical Staff will try to cooperate by
3 giving input to the renovation program, Dr. Holladay moved that the report be approve
Mr, Tc~bta seconded the motion, and the vote carried.
I '
Mrs. Simpson presented the Legislative Report. She stated that the amendment to
the Taft Hartley Law had been signed by the President and is now in force, The Nationa
I I .Hoalth Insurance Bill was killed in the committee last night.
I Mr, Testa mentioned that the hospital had assisted In preparing no Amigas de las
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j Americas in Denton for their mission to Central Arnerica, The four representatives
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have returned, and Mr, Testa plans to report on their activities and accomplishments
at next month's meeting,
Mr, Duvall read the Utilization Review Deport,' Twenty-six medical eases were
rev.ewed, Only one case was not approved, and it was properly handled, Mr, began
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moved that the report be accepted, and Dr, Holladay seconded the motion, The vote
} carried.
Mr, Duvall read the Nursing Audit Report, Ton oases wore reviewed, Some
recommendations were given for better record keoping~ Dr, Holladay moved that the
report be accepted, and Mr, Togta seconded the motion, The vote carm'ed.
I Dr. Burgess reported on the progress of the Medical Audit Committee.
Ur. Holladay suggested that the Board send flowers or a poly Plant W Mr, Simpson
as he is in the Hospital, The members unanimously agreed,
} Dr, Holladay related an experience that he, had encountered Wl'lh tilt; mospitalls
billing system, Mr. Provost explained how the system basically wolka,
Mr, Duvall stated that the Texau Araeodiation, of Hospital governing Boards is Navin
a fall seminar on September 14th in Fort Worth, He eneouragod ` k~ Hoard members to
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BNESS MINUTES Dole August 22, 1974 Page 3
attend,
Mr. Duvall reported that the County Judge and County Commissioners had visited
him recently and requested a tour of the hospital. They were investigating the possibili
of placing the City-County Health Department in the hospital. Mr. Duvall explained to
them how the vacant space was to be utilf zed and why it was not a good idea to place
these clinics in iho hospital, Mr. Duvall did indicate that he thoughtwe should consider
accepting the administration responsibilities of the Health Department as long as it was
housed at a different location and suggested alternatives for possible housing.
The meeting adjourned at 838, t
Respectfully submitted)
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A. J. Testa
IIII Secretary to the Board
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BUSINESS MINUTFS D.,a
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Tho Board of Directors of Flow Memorial Hospital met Thursday, July 180 1974,
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' with members present as followsi Dr, Charles Ii, Saunders, Mr, A. J. Testa, Dr,
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George Holladay, and Mrs, Paul Simpson. Also present were Dr. H. M. Burgess, I
Mr. Wallace Duvall, Mr, Don Provost, and Mrs, Mary Loir Ferrara. Those unable
to attend were Mr, John Carter, Mr, Carl Degan, and Mr, Robert Henzle
~ r,
Dr. Holladay moved that the minutes of the previous Board meeting be approved as
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mailed to the members during the month, Mr. Testa seconded the motion, and the vote
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{ carried.
Mr. Tests presented the Finance Committee Report, Aftor a brieF discussion, Mr,
'T'ests moved that the 1 inancial Statements for the month of Jura: be approved, Dr.
Holladay seconded the motion, and the vote carried. Mr. Testa moved that the Charity
Chargo-Off list for June in the amount of $101 606, 38 be approved, and Mrs, Simpson
1 seconded the motion. The vote carried. Mr, Testa moved that the Bad Debt Charge
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i { list for June to the amount of $181 312, 07 be approved, and Dr. Holladay seconded the
motion, The vote carried. Mr. Testa moved that the Vinance Committee Report be
accepted, and Dr. Holladay seconded the motion. The vote carried,
Mrs. Simpson road the hound'ation Board Report. Mrs. Simpson moved that the
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report be accepted. Mr, Testa seconded the motion, and the vote carried,
Mr. Duvalt -asented the Joint Cotnforence Report. Dr, Holladay moved and
Mr. Testa seconded that the report be accepted, The motion curried,
Mr, Duvall read the Administrator's Report, Mrs, Simpson moved and Dr. Ilollad
seconded that the report be'accepted, The motion carried,
Dr, Burgess presented the Modioal Staff Report. "the disaster exercise being
planned within the next two months tvas discussed at the Medical Staff meeting. The
bronchoscopy study being done b two
Y professors at the I3t01ogy Lab at North Texas i
Stato University was discussed, Dr. Voldnran Is performing their clinical work in the
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BOARD OF DJI2ECTOTIyY
BUSINESS MINUTES oalo July 18, 1974 Pogo 2
Operating Room at blow Memorial Hospital, The research protocol and the financial
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arrangements were discussed. The hospital is to be reimbursed for supplies, equipmei ,
and personnel costs at a rate of $35, 00 per procedure, Dr. Holladay moved that the ~
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Medical Staff Report be approved, and Mrs. Simpson seconded the motion. The vote
carried,
Dr. Saunders presented the Conflict of Interest Resolution pertaining to the Board
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1 membore and the Conflict of Interest Resolution pertaining to the Administrator, Admin
istrative staff, etc, for Board approval, Mr. Testa moved that the two resolutions be
approved as presented, and Dr. Holladay seconded the motion, The vote carried,
Mr. Duvall road the Utilization Review Roport, Sixteen cases were reviewed by the
+ Utilization Review Committee, fifteen were approved for further stay, and one was
disapproved. The case not recommended for further stay was properly handled. Mrs. ;
Simpson moved that the report be accepted, and Dr. Folladay seconded the motion. The
vote carried.
Mr. Duvall read the Nursing Au,.i,t Report, Ten charts were reviewed and construe
Live criticism was given where necessary, Dr. Holladay moved that the rppoet be
approved, and Mr, Toata secondad the motion, The inotion carried,
Dr, Holladay asked about the progress being made on the study to change our black
and whito televisions to color televisions, Mr,. Duvall stated that we had several pro-
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posale that were being considered. Discussion followed concerning charging the pationt
a rental too or Including the additional amount in their room charge,
There was a discussion regarding public relations for the hospital, Dr. Holladay
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suggested making an appeal for people to donate nag a7'iie subscriptions to the hospital
or books that they no longer needed, The volunteurs could take a cart around to the
patient rooms with those magaxineo and books for the
patients to eolact and road, Mr,
Duvall stated that [)its was already boing done, but ho would find out if there was a need
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BOARD OF DIRECTORS
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BUSINESS mINUTES We July 18, ifl74 Q°9° 3
for more magazines and books,
Mrs. Simpson presented the Legislative Report. She stated than the House of
Representatives and Senate had approved the amendment to the Taft-Hartley legislation
t which called for only a 30 day cooling off period. It is waiting for the Pre$ident's
signature, The current situation in Texas regarding HMO legislation was discussed.
Mr, Testa moved that the report be accepted, and Dr, Holladay seconded the motion.
The vote carried.
j The meeting adjourned at 8x40.
Respootfully submitted,
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A. J. Testa
Secretary to tho Board
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ADMINISTRATOR'S RE~~^'"~T
BUSINESS MIIJUTES Dale August 22, 1974 .-._-Pogo
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The Texas Woman's University Nursing School has established a Denton campus
for the clinical portion of the nurses training program. Previously this campus was in 1
Dallas and I.-Iouaton. Apparently there has been a demand from the people in this area
for the clinical training to be in Denton; therefore, the officials at 'lWU have set the
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maximum of 80 nursing students to undergo their clinical training in this area, This
means that a maximum of 10 students will be at Flow Memorial Hospital, 10 at Westgat
li Hospital, and others at Denton City-County Health Department, nursing homes, day-
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care canters, etc.
t Work is continuing on the renovation plane, Robert Carnes, architect, spent all
day yesterday working with us on some details, We are behind the schedule that I had
set; however, we are probably progressing at the proper rate of speed that is in
accordance with the time it takes to get approvals from the regional office of HEW.
We are continuing our efforts to contain cost oonsistent with a high quality of
service/
Respectfully submitted,
Wallaco Duvall, Administrator
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ADMINISTRATOR'S rjrpO32T
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BUSINESS MINUTES Mo July 19, 1974
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There was a joint survey conducted by a representative of the regional office of
! HEW in Dallas and a representative from the State Department of Health on Thursday,
June 20th, The purpose of this survey was to determine the areas requiring changes or
alterations to comply with the current building, fire, and life safety codes, Mr. Carnes
our architect, Mr. LeMaster, and I accompanied the representatives on this survey,
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Subsequent to the survey, we received a letter from the representative of the State
j Department of Health listing thoee areas that required some work and thus must be
included in the detailed plans,
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A joint meeting of the City Council and County Commissioners was held Tuesday,
July 9th to review our budget as well as other items of mutual Interest to the city and
'county, Mrs, Simpson, Mr, Testa, Dr. Holladay, Mr, Provost, and I attended the
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f Imeeting, There was
{ i a fairly thorough review and question and answer period ooncernin
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the budget. No decision has been given to us yet,
The Denton Henefit League presented , us with a check for, the balance of the money
that was acquired by the Benefit 13a11, This balance was used to purchase
a portable
laminar' flow unit and a surgical microscope,
Dr. Kindrick has donated two drills and attachments, valued at more than $1, 000,
to the hospital. These items will enable us to continue to meet the surgical needs of the
oral surgeons and the .DNT surgeons,
We are continuing to review our aetivi„ies with a view to containing or reducing
expenses consistent with high quality. care, In addition, we are continuing our eforts
to encourage physicians to establish a practice in Denton in order to maximize our
capabilities at Flow Memorial Hospital,
r Respectfully submitted,
Wallace L. Duvall
` Administrator
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BOARD OF DIRECTORS is
BUSINESS MINUTES Dote June 20, 1974 fags 1
The Eoard of Directors of Flow Memorial Hospital met Thursday, June 20, 1974,
with members present as followsi Dr, Charles H. Saunders, Mr, John Carter, Mr. A.
J. Testa, Mr, Carl Degan, Mrs, Paul Simpson, and Dr. George Holladay, Also presen
were Mr. Wallace Duvall, Mr, Don Provost, Mrs, J. W. Ferrara, Mr. David Lewis,
and Mr. Roy Appleton, III.
Mr, Testa moved that the minutes of the previous Board meeting be approved as
mailed to the members during the month. Dr. Holladay seconded the motion, and the
vote carried,
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! Mr. Testa presented the Finance Committee Report. Mr, Carter moved that the
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minutes of the Finance Committee, including the May Financial Statement and the May
Charge-Off Lists, be approved Dr. Holladay seconded the motion
and t the vote carried,
h Mr, Duvall read the Joint Conference Report. The motion to accept the report was
made by Dr, Holladay and seconded by Mr, Carter, The vote carried,
Mr. Duvall presented the Administrator's Report, The motion to accept the report
was mode by Mr, Degan and seconded by Dr, Holladay, The vote carried.
Since Dr. Burgess was callyd for an emergency, the Medical Staff Report was
postpurt6d. The two doctors approved by the Credentials and Executive Committees were
submitted for the Board's approval by Dr, Holladay, Dr, Arvin Short has requested
Autlve Staff privileges to general surgery, and Dr, D, H, Silverstein has requested
Courtesy Staff privileges as an emergency room physician, Dr. Holladay moved that
the Board accept these applications, and Mr, Carter seconded the motion, The vote
carried,
A Conflict of interest Resolution, which was previously distributed to the members,
was presented for consideration, Dr, Saunders commented on the current interest
I nation-wide in conflict of interest situations and the potential for a conflict of Interest
on the part of Board members and hospital officials, The AHA has developed some
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BOARD OR DIRECTORS
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BUSINESS MINUTES oats June 20, 197 P•o• 2
excellent guidelines for Resolution of Conflicts of interest in health Care Institutions
and has provided a sample resolution for consideration as a policy by governing boards,
Mr. Carter moved that the resolution.be accepted, Mrs. Simpson seconded the motion,
and the vote carried.
Mr. Duvall read the Utilization Review Report for May. Sixteen cases were
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approved. Two cases were not approved, and these were properly taken care of.
ii Mrs. Simpson moved that the report be accepted, and Dr. Holladay seconded the motion,
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The vote carried.
Mr. Duvall read the riarsing Audit Report, They reviewed 10 cases and rocom-
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mended improvements in certain areas. Dr. Holladay moved that the report be
approved, and Mr. Degan seconded the motion. The vote carried,
Mrs, Simpson presented the Legislative Report, It appears that the National
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j 'flealth insurance hill will not be acted on before the first of the year,
Dr, Holladay reported that the Xeroradiography unit has arrived. It has been used
for the past few days, and the doctors are pleased with the results,
Mrs, Simpson asked what is needed to update the library. Mr. Duvall stated that
no study had been made and that it was difficult to determine the real needs, Also, a
more extensive library would involve a rather large expenditure, Dr, Holladay suggme -
than standard textbooks in the various departments be obtained either through purchase
or donations.
Mr, Carter moved that the meeting adjourn, The motion carried.
Rospeetfully submitted,
L~
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A, it Vesta
Secretary to the Board
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.'ADMINISTRATOR'S REPPORT
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BUSINESS MINUTE$ DOG 1 June 20, 1974 Pas, I
It was my privilege to be invited by Mr, Henzler to speak to the Pilot Point Xiwanis
Club luncheon meeting on Wednesday, May 20, 1074, 1 appreciated the opportunity to
speak to that group abrut Plow Memorial Hospital,
in order to increase the Department Head's understanding of Hospital Administrativ
Services (HAS), Mr. Epperson, Regional TiAS Representative, conducted an orientation
session and illustrated how to analyze departmental as well as hospital wide statistics
at one of our regular Department Head meetings, We are following up on this ,)y provtd-
ing the pertinent departmental figures from the HAS report and asking the Department
Heads to analyze this information,
I reported at a previous meeting that Dr, Calvin Janssen and T had been appointed to
a NCTCCG Committee to developa Regional Comprehensive Health Plan, On Wednesda
June 8th, we attended an initial meeting in Arlington, This will probably be a rather Ion
project,
At the Denton County Health Planning Council meeting on, June 7th, the Council agre
to have a special meeting on Tuesday evening, June 26th, to try to des' a stud that
would provide objective information on the health needs (particularly M, D, needs) of
Denton and then pursue means of getting the study done,
j I had the pleasure of addressing the LVX's at their capping ceremony on June 7th,
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You
read
probably the newspaper article concerning our involvement with the Moats
on Wheels program. This was started Monday, June I Oth with meals provided for six
people. The volunteers for this program pick the meals up at the kitchen, take the meal
to the person's home, and may assist in feeding, the individuals, We are paid $1, 28 per
meal, This may be paid by the reolpient or the volunteers.
Flow Memorial Hospital was presented three chair beds by the Denton Beta Sigma
Phi City Council and one chair bed by the XI Is'psllon Xi sorority on Tuesday, June 18th.
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This gift ropresonts a generosity and concerti f,)r Flow Hospital and the public that 113
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4ADMINISTRATOR'S REPORT
BUSINESS MINUTES oast June 20, 1974
Page 2
'served, Also, It represents a considerable effort expended to obtain the funds for the
purchase of these chair beds, The chair beds have been placed in the Pediatric rooms
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so that the mother who spends the night will have a more comfortable chair and bed,
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The HEW Regional Office representative and the State Department of Health repro-
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sentative conducted a joint site visit and review of our renovation application today. Thi
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is one of, many required steps in the sequence of events leading to culmination of the
project, ~
We are continuing our efforts to hold or reduce expenses and maintaln high quality
services.
Respectfully submitted,
1
Wallace Lr, Duvall
Administrator
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' BOARD OF DIRECTOILEL
BUSINESS MINUTES oeid May 23, 1974 Page 1
The Board of Directors of Plow Memorial Hospital met Thursday, May 23, 1974,
with members present as followsi Dr. Charles H, Saunders, Mr, A. J, Testa, Mrs,
4
Paul Simpson, and Mr. Robert Henzler. Also present were Dr. Joe Holland, Mr.
Wallace Duvall, and Mr, Don Provost. Those unable to attend were Mr, Carl Degan,
I Dr. George Holladay, and Mr. John Carter.
Mr, Testa moved that the minutes of the previous Hoard meeting be approved as
1
mailed to the members during the month, Mr. Henzler seconded the motion, and the
vote carried.
Mr. Testa presented`tbe'h'inanoe Committee Deport. Mr. Testa moved that the
minutes of the Finance Committee to include the 1974.76 Budget, the April Financial
Statement and the April Charge-Off Lists he approved, Mrs. Simpson seconded the i
motion and the vote carried,
,
` E Mrs. Simpson read the Poundation Board Report. Mrs. Simpson moved that the
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report be approved, and Mr. Testa seconded-the motion. The vote carried,
Mr. Duvall presented the Jotnt+Conference Report, Mr. Testa moved that the
report be approved, and Mr. Henzler seconded the motion, The vote carried.
Mr., Duvall read the Administrator's Report, Mr. Testa moved that the report be
approved, and Mr. Henzler seconded the motion. The vote carried, 1
Dr, Holland read the Medical Staff Report. He stated that the Medical Staff met at
,
Westgate Hospital last Tuesday night. There was a discussion concerning. patients in
the Emergency Room being moved to another hospital, It was felt that a patlen+ should
not be moved without a dootorfs order. In the Executive Committee last Monday the
feasibility of adding additional lab work as a routine procedure for adult surgery was
discussed and referred to the Surgery Committee, The Credentials and Executive
Committees recommend to the Board that Dras V. L. Ford, J. A, Lynn, P, E. Weather ,
and J. R. Jones be approved for Aetlvo Staff privileges, Dr, J. D. iuauer be approved
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13OARD OF DIRECTO~
BUSINESS MINUTES car. May 230 1974 Pago 2
for Courtesy Staff privileges, and Drs. T. A. Jackson, A. H. Mickish, N. GO.. Sutherlan ,
t
and J. R, McCauley be approved for Emergency Room privileges only. Mr. Testa
{ moved that these doctors be approved as submitted, and Mr. Henzler seconded the
motion. The vote carried. Mrs. Simpson moved that the Medical Staff report be
approved, and Mr. Testa seconded the motion. The vote carried,
f Mr, Duvall read the Utilization Review Report for April. Twenty-three cases were ~
reviewed and justified, Mr. Henzler moved that the report be approved, Mrs. Simpson
I
seconded the motion, and the vote carried,
Mr, Duvall read the''`i*'ursfngAddit-Report for May. They reviewed nine cases,
Mr. Henzler moved that the report be approved, and Mr. 'Testa seconded the motion. I
l The vote carried. 1
i i
f Mrs. Simpson presented the Legislative Report, She stated that she felt there i
would be a National Health insurance Act of some kind passed during this year. The {
? bill to remove the not-for-profit hospital exenptian, i, e. the "no strike" clause, from
the Taft-Hartley Act was discussed,
The meeting adjourned at oils P, M,
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Respectfully submitted,
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A. J. Testa
Secretary to the Hoard
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BUSINESS MINl1Tt S Me May 23, 1974
1974 Pepe 1
Administrator - Lmpluyeo meetings were hold on Monday, April 22nd, Seven sea-
elms were scheduled so that all employees on every shift could attend the meeting,
Mr. Tomlinson and I discussed the renovation protect, the Wage and Salary Program,
the hospital's long and short range plans, and question and answer period about subjects
of concern to the employees. These meetings seemed to be well aces ted ahd a
P ppreniate
by the employees. On "Thursday, April 25th Mr. Tomlinson presented a review of the
I renovation project to the hospital auxilians,
On Wed„esday, April 24th, I attended a meeting of the Blacklands Hospital Division
at Methodist Hospital in Dallas, Mr, Gone Freeland of the AFL-CIO talked about the
i I union's position on National Health Insurance.
On Monday, April 29th, Mrs, Simpson and I attended the Commissioners Court
meeting and presented the tape of the Summation Conference by the J'CAH, On Tuesday,
I
May Ith, 17r, Saunders and I attended the City Council meeting and presented the same';
tape, i
YAW I attended the 'meeting of the Denton County Health Planning Council on Friday, May '
3rd. This meeting was primarily a continuation of the discussion about determining
bed needs for the city of Denton and Denton county, The Council agreed that an objective
study should be eonduoted either by the North Central Texas Council of Governments or
perhaps by local graduate students,
National Hospital Week was observed during the week of May I9th, In addition to th
proolamation by the mayor And articles in the newspaper concerning National Hospital
II
Week, an employee picnic was scheduled as the big event on Friday, May 11th, Comma 'k
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that have been made concerning the picnic indicate that it was enjoyed by everyone,
The Hospital Auxiliary voted to spend approximately $4, 800 for the following itemsi
8 utility carts, 28 wall mounted blood pressure units, 6 stalnloss steel orlbs for the
L9l wing, 2 gooseneck lamps, 2 rolling I, V. stands, 2 nobulizers, 2 Pedl exam tables
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- - idUTES Dale jft 23, i 074
r (Nursery R 1;, R, 1 EEG cutter (paper), an orthopedic wheel chair and an admitting
wheel chair, and decor for emergency waiting room (2 Lamps and 2 pictures),
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The portable Laminar Mow unit is being used on a trial basis to determine the
aoceptance,'prior to recommending a
pproval for purchase by the Benefit Leagde.
The xeroradiography unit arrived today, The Xerox technician will check the unit !
!
and put it Into operation as soon as possible. Appropriate publicity will be given as soon
s I as the unit to ready.
Respectfully submitted, I
Wallace L. Duvall, j
k Admtnistrator
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BUSINESS MINUTES Delo April 10, 1974
Page 1
The Board of Dir'ector.s of 1',low Ricmarini Iloapital met Thursday, April in, 1974,
~wilih members presertt aS follows; Dr, Charles if, Saunders, Mr, A. J. Testa, Air, Carl
Degan, Air, Robert llenzlor, Mrs. Paul Simpson, and Dr, (leorge Holladay. Also pre- !
s
Gent were Dr, H. M. Burgess, Mr. Wallace L. Duvall, Mr. C, L. Tomlinson; and
Mr, Don Provost, Mr. John Carter was unable to attend.
r Met Degan moved that the minutes of the previous Board meeting be approved as
' r
mailed to the members during the month, Mrs, Simpson seccnded the motion, and
the '
t vote carried,
j
i Mr. Testa presented the Vinance Committee Report. Mr. Testa salved that the
N: 1
fi + report be approved, and'Mr, began seconded the motion,, The vote carried, The Balan j
Sheen for
March was reviewed, Mr. Testa moved that the March Balance Sheet and
Statement of f
Operations be aceeptcd, and Mr, began seconded the motion, The vote f
rl, carried, Mr. Testa movV the Bad Debt Charge-Off list fa'r March En the amount bP
s,. r
0' f $38, 736, 83 be approved, Simpson seconded the motion, and the vote carried
a.` 119x, Duvall read the Joint Conference Report. Mr, Testa moved that
the report be
accepted, and X)r. Holladay seconded the motion. The vote carrieu.
Mr, Duvall read the Administrator's Report, Mr. Degan moved that the report be
` accepted, and Dr, Holladay seconded the motion. The vote carried.
ok
`ls The LVN program was briefly discussed, Mrs, Simpson commented that she
thought there might be some funds available in July for this program.
` Dr, Burgess presented the Medical Staff
Report,
4
The combined meeting of the Plow
7, and Westgate Hospital Medical Staff was hold Tuesday night at glow Memorial Hospital
with about 60 doctors attonding, it svaa decided that there will bo no change In Plow's
t+, medical staff procedures unless It is done when the meeting is being held at 1"low. It -
t vas mentioned that the new by-laws de not excuse Courtesy Staff members from
emergency room dotY The 4
le ~s ,
`possibility of arising from this policy was
problems
Ire
3
Ynlptl
'I
i
RVM
+ y'r 1~C),'11213 hit
\
`BUS114ESS MINUTCS nere _
- April IS, 1ft74 pA90..
_
I {
i ildi9ensrad. the C.redewfills rind lsxecutiva Committees recommend to ilia Board that the'
1follnWing doctors and dontisis, applications be approved for their requested privileges,,
ACTIVD STAFF
0. E. Adaml A. M, Finlay H, L. Mol3rayer".
V. 11. Alvarez Scott Haggard
To O. Blucker S. W. MO
Mtdgett
J. D, Harvey S. H. Miller I
R, 13. 13aativright 0. E. Holladay
1 ' D. X. Boyd J. W. Holland Virginia Moreland
H, M, Burgess Dale Jackson RTo. . V, Nunn
t E. R. Burkhalter J. no Jones So M, Patterson
W. Coleman C. L. Kinard S C. M. S ampoldi
J, P. Collins, Jr. . C). Satt.ler F. 1) .
Lee D rus o w. Smith
j Boots Cooper R. J.
4 ~ f R. S. Croissant D. Ti. Shiner
' I R. M, Lockwood E. M, Taylor
{ f f J. 1{, Dowling J. R. Long
P. J. Dyer J,, D, Thomas
S. To Love r Eugene Wolski
1 J, J. Feldman C, A. McAdams
A. B. Wyss
r~~ I COURTESY STAFF
tt I 1
{fir r, .r '
f R. J. Boren
! B. B. Davis W. S. Miller
Ii, P. Norgaard 1
f H. V. 'Norgaard J. V, Sears I,
r , DENTAL S'T'AFF
ooooooj~
, L. Jones
H. 1'1, Reed
13. D. Kindrick a• Lr Simmons I
C. H. Saunders
Dr, Holladay moved that these applications be approved, Mr, Hanzle
r
seconded the ~ ,<<
mottonl and the vote carried, Dr. Holladay moved that the Medical Staff Report be
` aocepted, and Mr, Degan seconded the motion, The vote carried.
The Wago and Salary Program was discussed. Mr, Testa moved that the program
bo approved, and nr, 11ollada,y seconded ilia motion, The vote carried, Mrs, Simpson
s
tt
stated that tills is the most comploto program that she has ever aeon,
It was suggested that a planning committee composed of medical L!octors be formed'
to give medical Input Into ilia detailed planning of our renovation project, Dr, ltollada
moved that Dr, Burgoss and/or Dr, Ifolland, Dr, 1' inlay or Dr, Lockwood, Dr, Jim
Ef, •lonrs, Or, Mcclendon, and Dr. Trord be on a planning committee for the roirova Tot
t )
ti~'> I t
FHm'1141 ki. OOP 40'. IL hoot,
V
~A
A/Ifthx
dRdII91A "w'
■
i
i
Owl
rot, t
BOAI1i) Op IXTo"Aft)
BUSINESS MINUTES Delo
- ~ April LA, 1974
PAq&
protect, 114 r, 1)agnn scconclcd the motion, end file vote carried, 1
f Mr. Duvall Ihtinl;ecl Dr. Ilollaclay, Mrs. Simpson, end Dr. Saunders for writing
letters to their congressman concerning the extension of the Economic Stabilization
Program and requested that copies of any other such Letters be given to him to sand to
THA for their file.
f
' Dr; Holladay suggested that the administration study the possibiltty of nonv..rttn ou
i g
black
and ,
white televisions to Dolor televisions, Mr. Degan seconded the motion, and th
1 vote carried,
` The meeting adjourned at 880 P. M.
J, r I II
I
t
Y'~ J Iteapectfully submitted, I
,
A. J. Testa
( j Secretary to the Board
LI
I fT
c
t,
y11
,
n
t ~
1.09 l16 s,s _,-rr u. ~
+:y .v.., n, ONW(flU A, tot. •c.•" 4rpc1:'y't1 LYGy::.~l.atfx YY._: ::.;2,
41
1'.
4
J•\hN+
i
~MdVfst7L
AT)MINISTRA'I'OItIS i;I%1~OI1'.C
BUSINESS MINUTE; o~
- April.. 18. 1974
Pego 1 j
t l j
When the Board met in March, the JCAIJ surveyors3 had completed
pleted one day of their ! 1
~ survey. They completed their survey
the next day and tnado many flattering comments
j about the hospital management and medical staff, The Summation Conference w
I by the surveyors and by us, and the tape is being carefully guarded,
i'
I attended the County Commissioners Court meeting on i ,
' r g March 25th to observe the
t I conversation concerning the federal monies available for LVN training, Approximately 1 !
I $100, 000 Is available for training purposos, but these funds must be spent on program
~i s
that will complete prior to the end of the fiscal year,
i'herefore
, it Is doubtful that the
l
r
t LVN program will qualify for any of these funds, It was suggested by Jim White that a
yr to that a
committee be appointed 1,0 evaluate the training needs so that we ~
vould not have to
,~;y i respond to available funds on a crash beefs. Judge 'Cedd' {
ndicated that he would a +
such a oemmittee, ppoint
On March 29th, Mr. Provost, Mr. LeM'asfer, Mr, Carnes, architect, and I
attended a precoltstruction conference In Austin, The purpose
of the meeting was to
i provide an opportunity for those who were awarded a grant and/or lean to ,
JJ 1.^` '~I State Department n+' meet the I'exa I
I3ealih personnel who will be working with us and to acqualnt us with
t f the steps involved in carrying the project to completion, Last
f•{`
week we received a packe
1~*. + of forma to complete, i
dr`
The Jaycee
f Wives organization presented the hospital with a patient walker,
iV, ( On Ap -11 6th at the Denton County health plannin
I g Council meoting Mr: 13ob Beare,
Y)r, Arthur Wliey, and I were elected to membership on the Council. In adds
of f Calvin Janssen and I wore elected as representatives to the l;a tonal tion 17r,
g Comprehensive
I~Realth Ilan Development Comm Ittoo,
r l I
]tospectftilly submitted,
} t W'nlince 14, Duvail ~
` Ii wo..vu•.t,., t t 1 I! Y11111 41 N11: (I
1
•'Ril,A01 ~
BOARD OV DIRP"c cog-A-) N 1
Fir- 1 BUSINESS MINUTES n.h ?March 21, 1074
The Board of Directors of Vlow Momorial Hospital met Thursday, March 21, 1974,
fi
r with members present as follows! Dr. Charles H, Saunders
Mr. John Carter, Mr, A.
J. Testa, Mr. Carl began, Mr, Robert Henzler, Dr. George Holladay, and Mrs, Paul
I Simpson, Also present were Dr, H, M, Burgess, Mr. Wallace L. Duvall, Mr. C. L. 1 Tomlinson, Mr, Don Provost, and Mr, David Lewis of the
Record Chronicle.
# j Mr. Degan made a motion that .he minutes of the previous Board meeting be
approved as mailed to the members during the month. Mr. Carter seconded the motion,
and the vote carried.
j Mr. Testa presented the Finance Committee Report. Mr. Testa moved that the
I {
report be approved, and Mr. Carter seconded the motion. The vote carried. Mr, 'z'est
moved that the February Balance Sheet and Statement of Operations be accepted, and M
began seconded the motion. The vote carried, Mx•; 'Testa moved that the Charity and
It,:
"I Medioally Indigent Charge-Off list for Pebruary in the amount of $10, M. 79 and the Da
Debt Charge-Oft list for February in the amount of $2, 908. 44 be accepted, Mr, Henzle
seconded the Motion, and the vote carried, Mr, Testa moved that the signatures of Mr.
Wallace L. Duvall, Mr. C. L, Tomlinson, Mr. Donald L. Provost, and Mr, Lewis
t
harmer be authorized on the signature cards for. the Operating, .Payroll, and MoClurka
bank accounts, Dr, Holladay seconded the motion, and the vote carried.
Mr, Provost reported that the Hospital signed a contract yesterday with Financial i
Systems, Inc. , as our new collection agency,
Mrs, Simpson read the Poundatlon Report. Mrs, Simpson moved that the report be
~t
A, approved, and Mr, Doan
seconded g the motion, The vote carried. Mr. Duvall reported ti F ; that the day following the Foundation Board meeting Mrs. Kenneth'Smith
made a tole! phorel
survey of the Board members with regards to the F'oundation's leasing a Xerox Telecopt r
for the hospital to aid in the timely reariing of EK01s, The consensus of opinion was to
; finarice the leasing of thla equipment, Mrs. Simpson moved that the lease of the Xarox ~j
I
Y . 9. 1YIY 1,11,` L[l t
r is '
>
WAIN
•a ort
ftU511~ItSS 1I)NUTE.S
Nlarch 21 1074
Teloeo ier b
p by the Foundation at a cost of 42, 80 per '
p month be Included in the Voundatlon
Report, Mr, ]]ender seconded the motion, and the vote carried,
Mr, Duvall read the Joint Conference Report.
Mr. Carter moved that the report
be aces ed
pt , and Mrs. Simpson seconded the motion, The vote carried.
Mr. Duvall read the Administrator's Report, Mr, began moved that the re
♦ port be
accepted, and Mr. Carter seconded the motion, There was a brief discussion concerns
I the LVN Program,
I The Vote Carr ~I
ied, .
Dr, Burgess presented the Medical Staff Report. He stated that he had
received a {
letter of resignation from the Medical Staff from Dr, K. L. Wright
W. 1~unrr transferring his status to the C and a letter from Dr
' ourtepy Staff, The Credentials and Exec
Committees recommend to the Hoar utty
>s. d the approval of these transactions and the appliee~'
ttan of Dr, C, J, Andersen as an Emergency Room physician. D
l' ` { r. Holladay moved that
the resignation of Dr, K. L. Wright be accepted, that Dr.
ft ~ ~ J. W
Dunn be changed from I
the Active to the Courtesy Staff, andthat Dr. C. J. Anderson big approved for E `
Room privileges only, Mr. Carter seconded the motion, and the vote carried, Mr.
Carter moved that the Medical Staff report be accepted,
and Mrs, Simpson seconded the
mbtibtl;• The vote carried, Dr. Holladay added to the report that the
i purchased for.cataraot surgery have arrived and are working satisfactorily, ,
Mr, Duvall stated that the Hospital owes Dr. Durgegs a resounding vote of thanks
F}` for his efforts in helping to assure full compliance with the
xiNl' JCAH guidelines,
Mr, Duvall reported that the JCAH surveyors Indicated that the
f . Board needs to she
evidence of concern for patient care as well as the physical plant and finances, The
Board should review reports made by the Medical Staff gush as thR Utt1
ization Review ! f
} il' Report and the Medical and Nursing Audit Reports, Dr,
I Holladay road the Utilization
f r I; Roview Rapart, and Mr. Duvall road the Nursing Audit Roport• These r I
approved b,Y the board, sports ware ~i
I
wyi~
M1
f
~c3an UP al,, r~rll F r l hi~^1
COSINESS n4ftv~liES n,;,~
Mai ch 21, 1974
I~ Mr, Duvall mentioned that next r'riday is Doctor's Day, and there will be a coffee
i
;f for the doctors from 8100 - 9;30 A, M, in the Medical Library.
Dr, Saunders expressed the Hoard's a
ppreciatlan to -Mr, Duvall for his efforts sinc6
his arrival.
f
f ' Mr, Carter moved that the meeting be adjourned, and Mr. Testa seconded the i
~ motion. The vote carried. The meeting adjourned at 811$ P.M.
Respectfully submitted,
M1I
A, J. Testa
Secretary to the Board
I
f ,
r i
t
y +.tva,
v
M10
J~4Mr;w
ADMINISTRATOR'S R}J lt'l'
etlswess MINUTES Dots -
' March 21, 1974
( Page
Since my employment, my attention and efforts have been directed toward preparing
f
for this ,ICAH survey which is underway at this moment. I am happy to repo! -t that at th
end of the first day the surveyors have both been very complimentary. They have made I~
c
a couple of comments that will need some correctional action, but overall they have been;
i ,
pleased with what they have seen. The Summation Conference will be at 1;00 tomorrow,
I and anyone who wants to attend is invited,
The Chamber of Commerce on the 11th of March presented- the Beautification Award
} to the hospital for the landscape project which has just been completed.
The Denton Benefit League presented us with a check for $6, 862 for the
therapeutic
bath units. 1 also attended their meeting on March 18th at the Country Club and express
our appreciation for all their efforts. I discussed some Items for them to consider in
spending the remaining $7, 000.
Mrs. Simpson and I visited the Commissioner's Court at the invitation of'-fudge Tod
and I also visited with the City Manager,
i. I challenged the Department Heads to respond to
the current census aituatian,
Dr, C. VV. Janssen and Mr. Ron Hughes met with me regarding the possibility of
providing psychiatric inpatient beds for this community,
4
I met with Mr. I
Guyer, Mrs, Hooper, Mrs, Long, and Mr, Tomlinson regarding the
i necessity of seeking alternate funds for the L'VN program.
Mrs. Bowers, representing' Meals on Wheels program, has requested that Flow
Memorial Hospital prepare meals for those who are unable to purchase and prepare thol,n
I tSi
own food. The recipients would pay for half the cost and the volunteers would pay for th
other half through donations, so that there will be no cost to the hospital. She intends to
limit this to 12 people, at least to start with,
Notification has been received i
chat the
State Health Department approved a grant of
1 $3870 212 and a loan of $2031 770 for our renovation and modernization program, A
y 1
tl ~ - hf~If 111 l' ~It DID CO /tIN4 11114!11
L ••o-Krdkl~' 11
K
3 nDMt[Vrsrr>ZArlrc, I itT
BUSINESS MINUTES
March 21, 1974 Pd OO Z
seminar has been scheduled for March 29th in Austin to review the procedures to be ~j
# f followed by those who have been approved for these grants and loans. This will be
C attended by the Administrator, Comptroller, and the
architects.
Respectfully submitted,
t j
Wallace L. Duvall
Administrator
I.^
k`r~t[ I
Itr; I
~r .
[
Y
i s--•~r~[zx_~Y..rr_.~as_•c'~.z~`.--.-....'*^.~.~.•wtznc-sfe-..;~..._., r
^ +~~1_'..41'CtL•y.3YLtG'.cdlr6 IJ
, , ,k I• , rnru~mreicooo to Jn.n,uurmr
f - raj'{
E .
I
I
1
1
BOARD Ol D
BUSINESS MINUTES Date I' ebruary 21, 1974 Page 1
ti
a The Board of Directors of Flow Memorial Hospital met Thursday, February 21,
4
1074, with members present as follows; Dr. Charles 14. Saunders, Mr. John Carter,
Mr. Carl Degan, Mrs. Paul Simpson, Dr, Geo.^qe Holladay, and Mr. A. J, Testa.
Also present were Dr. H. M. Burgess, Mr, C. L, Tomlinson, Mr, Don Provost, and
Mr. David Lewis of the Record Chronicle. Mr. Robert Henzler was unable to attend.
Mr. Carter moved that the minutes of the previous Board meeting be approved as
k I
i mailed to the members during the month. Dr. Holladay seconded the motion, and the
vote carded, `
Mr, Degan read the Finance Committee Report, Ile reported that a Charge-Off list
' was not presented for the month, and the number of hospital beds would be reduced to
160 to meet Hill-Burton requirements. Mr. Degan moved that the report be accepted,
I
E and Mrs. Simpson seconded the motion. The vote carried. Mr. Degan moved that the i
January Balance Sheet and Statement of Operation be approved, Mr, Carter seconded
I a ~ ~
the motion, and the vote carried,
Report, Mr. Dogan moved
Mr. Tomlinson gave the Joint Conference Committee that the report be accepted, and Dr. Holladay seconded the motion, The vote carried.
Mr, Tomlinson read the Acting Administrator's Report. Dr. Holladay moved that
the report be accepted, and Mrs. Simpson seconded the motion, The vote carried."
Dr. Burgess gave the Medical Staff Report. Ile reported that the new bylaws were
amende-l and work on the rules and regulations of the Medical Staff was underway by
Dr, Holland and the Bylaws Committee to meet the requirements of the Joint Commisgi
on Accreditation of Hospitals. 'The following 17 physicians were approved by the
Credentials Committee and the Executive Committee for Courtesy Staff privileges to {
the Medical Staff of Flow Memorial Hospital: Dr, (]ail M. Benson, Dr. Philip
].Bernstein, Dr, Daniel W, Blue, Dr. Susan I31ue, Dr, Bruce R. Carr, Dr, James S. ~
Carter, Dr. Dennis M. Cavallo, Dr. Benjamin V. Hughes, Dr, James D. Hundley,
r n..... r.. 1 •13:.T~'=.~[' ^ Y~'G3'ct1Ll.~'l1C" :T/dC`S 4"~~L. Yli.iAi+^
.....111.1 p.0,•
` WW u
BOARD Ol, DIRBCTax'].[\
2
r)Dr.PhIlip S MINUTES Dale February 21, 1974 Pass
T. LaBarbera, Dr. Ja.►es W. Kellett, Dr. Jose A, Marchosky, Dr. John
ler, Dr, Edward A. Neuwelt, Dr, Gary L„ Rose, Dr, Paul R. Whiteloek, and
mas K. Young. Mr, Testa moved that the Board approve these physicians to
the Courtesy Staff. Mr. Carter seconded the motion, and the vote carried. Dr,
Holladay moved that the report be accepted. Mr. Carter seconded the motion, and the
vote carried,
i
The sleeping quarters for the emergency room doctors was discussed, Mr.
I~
Flo f Tomlinson stated that the present arrangement was the best posalble at this time, and '
Dr. John Burr Miller, who doos'the scheduling for the emergency room doctors, feels'
r
that it is satisfactory. ~
. i I
i Mrs. Simpson gave the Legislative Report. She stated that the preadmission bill
had been dropped.
Dr. Saunders expressed the 13oardls appreciation to Mr, 'Pomlinson as Acting
Administrator and to the hospital staff as a whole.
Mr, Testa moved that the meeting be adjourned. Mr. Carter seconded the motion,
and the vote carried, The Board went into Executive Session,
Respectfully submitted,
A. J• Testa
Secretary to the Board
r ,
1
I
ru.w 9.618 , 1
•.°•r+AM.. .,w..,... ,n:a,..,.:..w, _ _ IM111t1, M'brere te.l hrertl, uIMOU 1
am+nrrllwt
YY
WWI
AC'TING' AbMINi,5112 R',4 121"1 01 r
1
BUSINESS MINUTES r,eln February 21, 1974
{
I Phis will be my last report as Acting Administrator, since 114r, Duvall will assume l;
Ill his duties March 1st, J
I would like to;express my gratitude for the very able and active assistance by t
~ he
members of the Executive Committee of the Medical Staff in solving the anesthesia
1 problem, I would also commend the Medical Staff for the positive approach that they {
took In reviewing and revising the Medical Staff i3ylaws,
f 1 would like to acknowledge the assistance of all the Department Heads as they
functioned in a supporting role of running the hospital during this period from November
r
166 1073, to March 1, 1074, Although we lost a number of key personnel, I feel that I
i
basically the employees have been able to maintain a high morale.
The projects started by Mr. Watson are drawing to a natural conclusion with the
exception of the application for a 11111-Burton grant, which is still in Austin'awaittng a
decision to be made by April 1st.
{
I look forward to Mr. Duvall's arrival and the relative vacation that I will enjoy r
+f after lie gets hr;re.
E ~
Respectfully submitted,
I
C. L. Tomlinson r, .
Acting Administrator
t
r
I
i
r DA 4 11.0 113 i
zn. ".Moor„ .nnin, r, p:Or4W tro,V lNrrPq s^
t
w
FLOIJ ifP: fORTe1L HOSPITAL
t10?iTlILY STATISTICAL REPORT f
FEBRUARY, 1974
7 This
Patients remaining last report: 97 This tfo. Mon th Last Y This Yr.
r, Last Yr.
Admitted: ET To p
~ To Da'
ate
Adult.
Pediatric 293 432 1934
Obstetrical,,,,,,.,,. 59 86 350 2144
90 74 453 447
Newborn..,...... ......Sub 'Total 442 592 441
i
303
11,11 82 62 404 363
Total 5-- - 6
rleaica 101 124
Me d i a ~
117.1 ;k 4`,a idluded in all Adult),,,..
a
22 36 668 610
128 152
Total 1 1 :rested: 621 '
~ biechargec3: ~
Adult....,,
~Padiatr
ic,......... 282 423.
1940 207
Obstetrical. , 4 59 86
487 71 b0 43
{1 Newbozti.. Sub Total 4
1 . . . 11110 . 1, 1' . . . . . . . . . . , , 79 ~ CH, 27 8 20494-
xotai 33 404 53
33
liedIa'are (Included in Adult)........`...
Re dIca Id (Included to all.catagozies) „ 293
5 11'2 562
33 133 987
f Total Patients remainittgs 114 148 jj
Discharge Days':
Adult 2108
Pediatric 2793 15161 - f
Obstetrical 276 308 14523
` 208 1230 ~ • 1630.
Sub Total g 1396 1390 1
Newborn ;
III
TOTnL 28`"x------- 174 1533 _~.w...~s
dicare (Included in Adult),,......... 888
940 tiedicaid (Included in all categories),. 138 1165 5886 5088
Me 65 742` 733
f Average Langth of Stay,
Adult.. . . , . .
Pediatric., 8 ~
4, 4 7
I Obstetrical 3 4 3 3 3
3
r Total
f H* dicara (Intludad In Adult),
Medicaid (Included In all categories)... 15 8 10 10
E
5 6
5
otter
µ
F BF~UABY~ ~Qj~ r. MONTHLY STATISTICAL RCPOk page 2
I~ Census . Patient Days Th i s
t tfonth Thin t~io. Ti11s Yr. Last Yr,
AdUIC..., 21 78 Last YY'• ToTO [ate
pediatric 3100,. 13939 15272
Obstetrical 323 315 1491 1530
E
288 218 1 51 38388Newborn.. , . , , . Sub Total 1 l 18180
2 9
Total 3` 0'~g _ 239 1628 13?.L
38 _ 1 6419580
Medicare (Included in Adult) 1063 1321
5976 6474
Medicaid (Included in all ectegories)„ 113 219
r 713 753
Avevage Daily Cunsusi
Adult 78 111
{ pediatric 92 101
Obstetrical 12 1f 10 10
10 8 ZO
Sub Total ~Ww 0 9
I Newborn
- 4 4 6 4 112 10 y l 0
_J Total xl 9
130
Medicare (Included in Adult),,,,,,,,,,, 38 47
E Medicaid (Included is all categories)„ 4 8 40 43
5 5
pencentage. of occupanall
,Adult, , . , . , b1 4)........ 48% 100% 56X 01% I
Pediatric.,...... 109X 559
91% ' 50X..,
azX I
• ~ 3
_ ~19b Bede 5X
42% .
30%
C6 Bl~lOsx9~,ta1. 38% 35X" 41%
`
w#
(224 Beds & Baseiaetj~tal '
Ne54 Bada
{ Medicare (Included in Aduxt)U03,8a0e). 23x *42%
Madicald (Include d in all categories 2X 25% *39X
Dea21h. da (224 Buds 6 Bassinets; 3% .2% Me 3% I
a & Bassinets
Over 48 hourst
k Adult........., 8 9
43
Pediatric, 0 0 ~ SS
Obstetrical 0 0 0 0
0 0
Sub Total
Newborn.... 9
Q 43 3
Total 0 4
4 55
Medicare (Included in Adult),,,.6
Medicaid. (Included in all categories) 0 33 43
1 Q
Under 48 hourst
Adult 4 3
Pediatric.., 0 0 22
14
Obstetrical 1 1
' Sub Total
rn 23 W
lJef~bo 1S
2 0
. _ _ 16
Total 4 r
3 ' Nedicaru (Included in Adult),.,
k1[odicaid (Includadtn all a 4 3 19
CA tegories) 0 0 10
1 0
Autopsies„ Q 1
. .
5
Net Autopsy Rate..,..,.,...,,.., OX gX
rz 10% i
411kl
Page 3
Ir$BRU Y~ 1974 _ ~IONVMY STATISTICAL RZPOR'
• 71
This This Me. This Yr. Last Yr. !
,
Month_ Last Yr. To Date To _Date
Intensive Cara Unit: (Figures of this category are included in other categories)
Patients Admitted.., . . . . . . 45 49 228 252
Patients Discharged, 35 47 202 235 ;
6 3 22 17
~ Patients Expired
Census Days 122 138 660 761
Average Daily Census............. 4 5 4 5
3 3 3 3
Average Length of Stay.
Percentagu of. Occupancy..,.,,.... 57% 712 57% 71%
Madicare:(Included:ht above totals)
9odmies3ons 22 26 113 116
Discharges 15 23 14 99 1068
Rupired....................... I
CE na us Days • r 69 95 366 396
i
Medicaid: Included in above totals)
_ 1 5 {
Admiesions.•..., s.., .2 4
2 1 tII
j Dieghargea 3 0 I
Expired 0 0 0
Census nays.... 5 5 7 24
Operations 67 161 929 730
{ Md3or 85 15$ 844 80
j
13 .Minot..
f
Total 1339 IM
Ilactrocardiograres 201 292 1271 1447
Laboratory Testa . . . . 14,957 16,233 800,153 76,032
. ,
l Physical Therapy Treatmante..,•a 1489 1798 80678 80691
Dietary: (Meals served) . . . . . . PA tiant 7,9953 10,939 49,093 52,479
Other 3767 3,844-- 2.0, 6. 184291
~
Total 1z,'~b "~_..14,~383 69,160 70j770
Laundky Lba.,• 389130 39,079 241,721 • 309,427
per Patient Day..,., . . 12 15 13 16
Bmergancy ltoote 711 755 4355 4000
ViAiee..,.,,•.•.•~••• ~
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Respiratory Therapy Treatments,..... 1564 1737 70550 7,683
,
1172 1456
X-Ray ExaminatIons..,.v.,,...• 7,033 6,934
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71OADD OF DIJJEC,1101tS
BIJSiNESS MINUTES
~ January 24, 1974
i Pngu I
i'lie Board of Directors of Flow Memorial 1lospital met 'T'hursday, January 24,
f l
l 1074, with members present as follows; Dr. 'Charles I3. ,Saunders, Mr. Jahn Carter,
f
I Mr. Carl De an, Mrs.
b' Paul Simpson, Mr, Robert IIenzler, and Dr, George Liolladay.
Also present were Dr, HE M. Burgess, Mr, C, I,. (Tomlinson, Mr. Don Provost, and
j Mr. David Lowis of the Record Chronicle, Mr, A. J. Testa was unable to attend. ,rr
Mr. Henzler made a motion to approve the minutes of the previous Board meeting ~
as mailed to the members during the month, Mr, Carter seconded the motion, and the i
vote carried,
N'
Mr. Degan road the hinance Committee Deport, Mr, began moved that the report
be accepted, and Mr, Carter seconded the motion, The vote carried.
Mr. 'Degan
moved that the December Statement of Operation and Balance Shoot be approved, and
,
Mr, Carter seconded the motion. The vote carried. Mr, began moved that the Bad ¢
Debt Charge-Off list for January in the amount of $27o 055. ~ ~ . 88 be approved. Mrs
i Simpson seconded the motion, and the vote carried, Mr, Degan moved that the Charity
and Medically Indigent Charge-Gift list for January in the amount of $10, 800, 80 be
j
approved. Mr, Carter seconded the motion, and the vote carried, Mr. Degan moved
that the emergency room charges be Increased from $7, 00 to $10,00, Mr. Carter
i
seconded the motion, and the vote carried. Mr, Degan moved that the Board authorize
j
the purchase of a washer extractor for our laundry at a co&t not to exceed $140 000. 00.
f Mr. flenzlor seconded the mutton, and the
vote earned.
i
Mrs. Simpson gave the Foundation Report, Mrs, Simpson moved that the report
be accented. Mr. Carter seconded the motion, and the vote carried,
i Mr. Tomlinson gave the Called Joint Conference Committee Report, Mr. Degan
e moved that the report be accepted, and Mr. Carter seconded the motion. The veto
ear. ried,
Mr, '2 otrlliuson gave the Joint Conference Committee Report for the regular meetdn ,
r.,r 0.01 B ' - '
. hu 44,IV Y,1... ie. aal,• 1111, 1 *•-~•vn »a ar ~rr•~atemnx~~:~:.,rmr I
I
BOARD OF DIRP;CrI'0125
BUSINESS MINUTES i~ January 24, 1974 p,,g" 2 '
Mr, iienzier moved that the report be accepted, and Mrs. Simpson seconded the motion
The vote carried.
Mr. Tomlinson read the Acting Administrator's Report, Mr. Degan moved that the.';
report be accepted, and Mr, llenzler seconded the motion, The vote carried,
Dr. Burgess gave the Medical Staff Deport, lie otated that a committee headed by f
1
Dr. Holland has reviewed the new bylaws and will present their proposed revisions to
I f; the medical staff at their quarterly meeting on hobruary 5th. Dr, Saunders acknowl-
edgedthe Board's appreciation to the medical staff for their cooperation during this S
adjustment period. Mr. Carter moved that the report be accepted, and Mr, Degan
seconded the motion, The vote carried,
f ' Mr, Tomlinson recommended that the Board approve the now medical staff bylaws
In principle, Mr. Degan moved that: the new bylaws of the medical staff be accepted, I
Mrs, Simpson seconded the moticri, and the vote carried, {
}
Mr. Tomlinson stated that the Denton Medical Auxiliary has donated over $17, 000, J10
t
to Plow Hospitals Mr, Henzler moved that the Board send a letter to the medical auxil-~
Lary in appreciation of their supports Mr, Carter seconded the motion, and the vote
1
j carried, ?
I
Mrs. Simpson gave the Legislative Reports She stated that the National Health I
Insurance 13111 is unlikely to be passed during 1874,
i
The Texas Association of Hospital Governing Board's meeting to be held in McAlleni
I on Pobruary 17th was mentioned. Mr. Carter moved that the Board s.uthorize two I
members to represent the Hoard at this moetings Mrs Degan seconded the motion,
and the vote carried. Dr. Saunders and 'Dr, Holladay agreed to be our represedtativos,
Mrs Tomlinson stated that Mr, John Mlniter and five of his TWU students have
donated their time to update and categorize our medical library.
Dr, Holladay moved that the meeting adjourn, The motion carried,
.tN r.~i::n-<-- _:rr:t _..-..~~_~-zrr e=~ . r. a_.:::..::.__..r_.ea ~r~-.;>~a_.:.._.. s. IN I
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' DLtLC7'OR,S ~
~~BUSIWESS MINUTES r January 24, 1974 alrU~ 3
Respectfully submitted,
Carl Degan
Acting Secretary
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ACTING ADAf INTS l RA 1 OIIr• n
l III .I Ll'012'1'
BUSINESS MINUTES
Ip ~ January 24, 1974 ~ rsg~ 1 I
Since my last report, Westgate hospital has Apparently opened two nursing stations.
and we have made a significant contribution to their staff of employees. Because our
salaries are to a great degree frozen, the new operation at Westgate is able to have
starting salaries that have a higher base than ours for similar jobs, Also, they are
able to offer career advances to some of our employees by having supervisory openings f
that entail more responnlbility than those we had, s
i
k
The anesthesiologists have officially informed me by theft, letter dated January 7,
1974, that they would not offer coverage to allow after noon, January 14th. I-Iowevor,
at this point in ttme I believe that they have been able to help the ~ surgeons
working at
Flow when they were needed. Plow long this can continue, we are not sure,
I can report that we have hired two nurse anesthetists who will be on duty Flebruar #
{I i I 11th, and our search continues for an anesthegiologlst.
The Hf-Noon ,ions Club advised me that they are interested in furnishing the
emergency waiting room as a project, and a committee has been named to work on this
l project, As developments occur, I will keep you informed. I
We have begun and halfway finished the, terracing and landscaping project with C, T
Landscape, Co, , and at this point we have been pleased with the results we are seeing,
We have been invited by the License Vocational Nursing Teaching Program to .
participate in the Admissions Screening Committee, Their meeting is scheduled for
January 24th at 1r44 P, M.
In my last report I recommended that the contract with Physicians placement 6rou ,
Inc, not be renewed,' Since that time, Ur. Cooper has been arranging to have a Texas
' license and to form a professional corporation that will enable us to comply with the
desires of Blue Cross and will make our activities in the emergency room legal as far
i
as the corporate practice of medicine is concerned, 'T'herefore, I would recommend
that the arrangement with these people be continued, but that the contract be signed with
Y!LS^~;Y~'~..': rc. _.iY.'_~ .~3i?.~ _`-:.~'L:~'~.'t'~l'SY».Y `r••C'-~.'Y~]11TH.:d1Y4'i. t
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' 1111'1{1 H u 1
)MINfSTRATOWS
ACTING n 711'POll''
t I BUSIN SSMINUTES i January 24, 1974
i 2 I
Texas Emergency Room Services, P. A.
I would like to report that as Acting Administrator, I have .,eceivod excellent I!
cooperation and assistance from the hospital personnel and the members of the Medical
I
Staff. I appreciate the Board's evident patienco and assistance as I attempt to function
In this capacity until the new Administrator is hired. ;
Respectfully submitted, ~
C. L. Tomlinson
Acting Administrator
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l30l11iD O1 I)IIII;C"I'C)I
BUSINEk ,S NIINUTCS n, Doecinhot, 20, 1973 The Board of Director;; or Plow Memol'inl Ilospital metI'll UP sday, December 20,
ii 1073, with members present as follows; Dr. Charles if. Saunders, Mr. Carl began,
Mrs, Paul Simpson, Mr, Robert lienzler, and Dr. George 11olladny. Also present were
f Dr. 1Vm. X. Colcrmin, Mr. C, L,, Tomlinson, Mr. Don Provost, and Mr, David I.,owis
of the Rocord Chronicle, Those unable to attend were Mr. A. J. 'testa and Mr. John ~E
g
Carter.
I
Dr, llolladay moved that the minutes of the previous Board meeting be approved an
Ji; mailed to the members during the past month. Mr. Llenzler seconded the motion, and
l
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f the vote carried.
Mr, began gave the Finance Committee Report. MI,. Degan moved that the
November l! lnanclsl Statement be approved, and the, Balance Shoot be approved subject I
I~
to the audit adjustments. Mrs. Simpson seconded the motion, and the vote carried, i
I
f Mr, Dogc,n moved that the audit report be accepted, and Dr. Holladay seconded the
motion. The vote carried, Mr. Degan moved that the flad Debt Charge-Off list for
t I
November in the amount of $11, 351, 51 be approved. Dr, Holladay seconded the motton,%,
and the veto carried. Mr. Degan moved thnt the Charity and Medically Ind4gent Charge II
~I Off list for November In the amount of $1, 4511, 70 be approved, Mrs. Simpson seconded
I ,
the motion, and th, 1 -ote carried.
Ij
Mr, Tomlinson gave the Joint Conference Report. Dr; Holladay moved that the . I
report he a6K,i-,o J, and Mr. Ilenzler seconded the motion. The vote carried,
IMr. Tomlinson gave the Acting Administrator's Report, Dr. Holladay moved that
i the t"~port be accepted, and Mr, llcm ler seconded the motion. The vote carried,
Dr. Coleman gave the Medical Slhff Report, the hlcdloal Staff mot on rh,-.ember 1161 '
for n culled meeling to approve the new by-laws and to elect new officers for the coming
year. The by-laws -,ears approved by the stuff and are rowdy for the hoard's approval.
Tho liew affices^s will hc~: l:)r, 11, 111, llurf;co-j40 I'rr.si~lcnl; Dr, J. 1V, 1Iolliu1d, Vlov-
v,.
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BUSINESS N IINUTFS Lie r~ n ~
1)ccc.mr 20, 1 73
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Fi ; lyresldcnl; tuui T)r, J. lC, l~owiing, Secretary, Dr'. Holladay moved that the report be
i'
d nccepled, A+lr. lieuzIer :;crconded the motion, and the vote curried, i
y
]'he meeting was adjournod, and the ]Board went into L;xecutive session to consider
r, personnel problems.
Respect rul ly submitted, t
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1 1i Carl l7egan
Acting secretary
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^ACTINC ADNIINI W '
'n [2 S 721., l Oit'i
GUSINi SS MINUTES berombar 20, 1 073
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One of thr most enjoy,, ble Items that I have, to report at this t
!I receipt of 011V auditorrs report from Leatherwood and Ii
Ward giving us an unqualified
f l~ audit for our last, fiscal year's operations, Copies of the report have been delivered to
both the city and county for their examination, J
ff Another delightful experlonce involved all of the S ~ I hospital i
employees enjoying a hI
' complimentary Christmas dinner with the appropriate menu and the food being served
if 1 in an attractive manner, The employees indicated by their response that they a} pro
ci
-i` ated the lunch very much,
We are providing a note from Administration on behalf
of the 1'ioard members, '
Medical Staff, city and county, and employees to be presented to 9.11 the
patients thpt f`
j { will be In the hospital on Christmas Duy stating that those Patients a
I re the h r
3° . I guests for lunch. We hope this token gist will be well received capitals i
y~ I We are also planning
to ecAtinue the tradition of furnishing free hoSpltal pare for the, mother and bab be i
tho first-born in 1974, y ins
1 We have invited the High Noon Lions club
to consider furnishing the 8mergency
l A ` r k Roam lobby as their project, I have not heard officially
from their Board, of ntrectors,
but I have heard unofficially that thta
" project is receiving favorable consideration, We l
have a number of projects that I think would be of interest to a
( i
}1ti Cher clubs, and we are
trying to develop some type of public announcement that will make the various
organi- zations aware of these needs. 1 7i
Mrs, Ruth`'rerrell and Mr, Denny Vinson have retired as full time employees
the traditional 13oston rocker gifts and reception held in their with
`honor, Both of these I~
~f employOeo will be entployeed on a part-time aiatus.
I
j Mrs. Nelda Kiser is functioning as Acting Opernting'Itoom Supe fl
rvlsar until a
~I permanent appointment ctin be made,.
if The anes((zes(nlegls(s of the hospital have advised us lhnt t41
heir services will
be
4
`gr~a.iw
-ACTING ADMINIS'1'Ilr\~OR',5 nF1r ali'r ~
DUSINE.SS IvfINUI'f:5 n,,,. r'
I December 20, 2?73 2
r devoted primarily to Westgate ilospltal in the near future, and we have begun our search
f for two nurse anesthetists and a M, D. anestheslologlst to provide this vii
I
~ I al patient ser- 19 ~
i vice.
The new Medical Staff By-laws have been adopted, and although there will be s
~I onie
amendments to make them more applicable to p'low's situation, I think that we can
accept this as an indication of the Medical Staff's decision to maintain high standards !
at Flow.
! We have been informed that the L'VN teaching program directed by the Denton publi
School System will utilize Westgate Hospital in addition to plow for their clinical expe-
t., f Hence. I hope in the future to visit with the director of this program to reexa' nlne`its
position in the community with the addition of a new hospital,
{ I would like to call the Board's attention to the fact that 'our contract with physician
placement Group, Inc, has reached the 00 day provisional period. I would recommend
that this contract not be renewed. I am totally convinced that we can nmrIntafn physician,,
coverage in the Emergency Room for the eame amount of time that this contract pro- !
vides without any additional cost to the hospital. This type coverage has }worked but
well for the benefit of the patients and public In general.
I would also like to report that Mr, Tommy Fouts is proceding with the project of
having a feasibility study made to determine whether or not the community could and
would support a Cancer Radiation Therapy Center,
On behalf of the employees of Flow Memorial 16spital we would `like to extend our
wishes for you to have a Merry Christmas and a fta ~I
i ppY New Year. +{j
Respectfully submitted,
C. L. Tomlinsoi
F Acting Administrator
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HOARD OP Dift1JC'1'Ollti 19h~
f1USffJESS MfNIJTC-S u.,.. November `til, 1973 N'),, l
The Hoard of Directovs of Flow Memorial Hospital met Thursday, November 213,
S
J s' 11373, with rriembers present as follows! Dr. Charles 11. Saunders, Mr, John Carter,
Aire. Paul ,Slmpaon, Mr. Carl Degan, and Mr. Robert Ilenrler. Also present wore
1
s Dr. Wra, E. Colen'ian, Mr. C. L. Tomlinson, Alt,. Don 11,rovest, and Mr. David Lewis
of the Record Chrontelo, Ali-. A, J. Testa and Dr. George Holladay were unable to
t i•,, ~ ~ attend. II
0
II A motion to approve the minutes of the previous Board meeting as mailed to tho
'i members during the past month was made by Mr. Carter and seconded by Mr. Dogan. '
The motion carried, t F
3,a1 ,
1Mr. Degan gave the Pinance Committee Report, Mr, Degan moved that the report
t,Yisa i
be accepted, and Mr. Carter seconded the motion. The vote carried, Mr, began
l r jl
4A' moved that the October Income Statement be approved, but that approval on the Balance ii Shoet be postponed until after the completion of the audit.
Mr, Carter seconded the j
j
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motion, and the vote carried. The three options given by the Bill-Burton program to
. meet their charity requirements were reviewed, Mr. began moved that option N3 be
acoepted, Mr, hlenzior seconded the motion, and the vote carried, Mr, Deg
an moved
i .
ily that the Patient Account Procedures policy, as submitted by Mr. Provost, be adopted,
Mr. Carter seconded the motion. The vote carried, Mr, Degan moved th4c the quote
on our landscape project from C, T. Landscape in the amount of $s12, 806. 00 be accepted;
44
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1 and that (hey be co,itrncted to begin work immediately. Mr. Cdr+,,r seconded the motion,
and the vote cui4rlod. Alt-, Tomlinson presonled the re uos ;
i- I, q t from our X-Ray Llepar fmanl
to repair the equipniont in the fluoroscopy room. Mr. Do an mov A that the egciljamt nt
„ the repaired at n cost of $ll, 250, 00. `Mr. Fionzler seconded the motion, and the vote
cavi'led.
Alm, ,Simpson gave the Foundation Report, She moved that the report be accepiod,
f
v and Alr. Cat-tor socondcd the mollon, The vole curried,
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BOARD oil, i7fi1[ C."i'ORS ~
f ~E1151NES5 t✓,IMU115 n.. Novrmbcr 3f), 1073
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Mr. 'Tomlinson gave Ihr, Jotirt Conference Report. Mr, 17egan moved that the
t . report be aCeehled, and Mr, Carter seconded the motion. The vote carried.
L
Alr, Tomlinson gave the Adminiktrator's [tcport, Mr, Itenzler moved that iho
report be Approved. Air. llegaul seconded the motion, and the' vote carried.
" Dr. Coleman gave the Medical Staff Report, Ile stated that the proposed new
i Medical Staff 13 Laws were Omitted to the Medical Staff at their quarterly enacting
held this month. There will be another staff meeting on December 11th to vote on the
acceptance of these by-laws. Mr. Carter }
t ~ iI moved that the report be accepted. Mrs,
'k f ~ I
Simpson seconded the motion, and the vote carried, f
w nc ,
ff Mr. Tomlinson briefly surnmarired the anesthesiologists' proposal for anesthesia fJ
coverage for flow. No action was taken regarding their proposal,
Mr, vegan made a oration that the proposc.,d long-range plans for the ho~spitKI be I 1
r tti'. . f i approved as submitted to the Board members, Mr. Carter seconded the motion, and
f ate` i1 the vote cE►rriod. Dr, Sounders suggested that these plans should be updated
on an
annual basis,
I
Dr, Saunders moved that Mrs. Simpson be reappokited to the Foundation Board,
# Mr. Carter seconded the motion, and the vote carried.! '
pw,
it Mr, Degan moved that Dr, C, L. Littlefield be reappointed to the l,inaneial !
i } Advisory Committee and Mr, J, L, lluffinos, Jr, be appointed to replaco Mr', Ilendrtck
t
on this enmmittcc. Mr, Carior seconded the motion, and the vote carried,
Dr. Saunders submitted an amendincrnt to (he Lay-Laws of the l'ioa;rd of Diroetors
for tho Board's approval, Nir. Carley moved that tttc by-laws I amended to comp}y
with the veryuh•einents of the Joint NmmIssicut on Aeeredltation of ]lonpitals. R1rH.
r .
Slmpson seconded ill(,' motion, crud the vote carried,
} f111., Dogrolz moved that file meettnt; be adjottrvred,
rf, . ,7. WVlh4t?;AkrwNNJ~>xM1w.ti,.r! ,u:t.:ure:. r .
Mkt; _ _ . s
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IIOAIID OP DTIIIX:'jloRS
r "BUSINESS MINUTES n.r,~ Nnvcrnbcr 2f1973
t Non
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hI \ Respeclfully submitted,
+ Carl Dctirhn
Acting Secretary ,
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4
ACTING, ADA'l Nfs'rRATOI, PS lir;r'Olt'I' r RRR
l OUSIINIFSS MINUTf•S e., . Isove.mber 211, 1973
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In assuming the roslfr.,;iblllty of the Admliiirrtrnlor until a now Administrator fy
k.'
scloclnd, I have been most oncouraged by the able and active participation to the man
f
agenlent processes of the hospital by the Deportment hands, In an effort fo ulllizv the
knnh+lad e and experlenec that these people have, wockl•y meetings are now being hold
f
with those people to discuss day-lo-day hospital operations And to,considor any changes
II
In oheratlontil policies that the Department Heads might recommend,
We are feeling; the impact of the opening of Westgate Hospital tai that we have
u'1 already lost some key personnel, However, Mrs. Long, Director of Nursing Services
4.17, I I ~
has begun intensive In-service tralnMg programs for those personnel rvho will be used
+
#t,it If to fill the vacancies created by these resignations, e
W have adopted the attitude that 4~~~ employees following the prescribed resignation procedures will not he penalized simply I
because they are being employoed by Westgate Il'ospital. They will receive the same consideration for reemployment as if they were leaving our employ
town other indt s
' y t4 try.
4<< - I believe that the )'card of Directors should be conscious of increased pressures for
modernization of the buflaing and replacement of obsolete equipment that will logically
yl result with these facilities bolag a F
vailrlblo at Westgate. 1 export particular pet sours
for updating diagnostic equipment and pedlatri^ care facilities,
`t'he adoption of the finalized procedures for identifying and qualifying medical
r te,; i Indigents as recommends+d by your Finance Committee will, In my opinion lm
prove our
Vd I I
r, relntlnnahip not only frith the conitltuttfty in geast a1 but with all the agenei os' through-
out (ho county, atate, and federal govel'nmc"nt that have an interest In"provltlhig
1k,~r mrtficul care for the Ilndl ce
nl. 1 bclicve this is a pt•ogram that can be well ninnngod
In an objective and Ill Inanner by our hospital eniplo,yces and will oliminnle argil-
U"at•y clocisionK on matters of ::Its nature which have had to be mode the in lhc. paht.
For the, Hoard's Information, this past month Mrs, Aida Joncs, and Mrs. 5tOla
f reUn officially refired rued ~~c,re I,re,Ienlyd kirk of Boston roc'kern at it reception h<•Irl
i
5!. oa?''4ikP14rrr1AW?a.•+ wry...., ,
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ACTINIr, Aunlrfvrs'r}tn'rc~ s Itrholtr
BUSINESS MINUIES
NovcvnhQr 29, 1973
In lhcir honor,
As you will recall, 17x1 5eptemher Mr, 4)rrrh9o4 Indicated a rtced for more rtt41nage-
I Munt training for our Department heads anti setr,crvisors. I can report Mutt illis training
W aireacly fn,pr'ogt'ey9 with the Department l}cads; anci rlrst lhtio yl+pervisors attr;ncffng
4
training Sevsions 0,201 Tuesday morning.
I
j A r'epresttntativr, from the Internal Revenue Service spent the better par
1 I t of two
1 j +J weeks examining our contracts with our IWholo 1st and I'h sfcal s I
g y Therapy to determine I
+ir
tvhother or nova contractor - contractee relationship existed and whether or not in fact fj( E
these peoiter: w ii
duld be employees of the hoHpital. Atter intensive record exatniitiatlon I~
tl, 1 l and several hours or conic rrinlf wfth Mr, Watson, Mr. larovost Dr. 1 . Vord, and mys3elf, '
{ ; ; l fhf s IRS agent determined that we d Id have a contractor - cotitr it I
actee relatione}tip, but 1.
he recommended minor changes in the confracts themEjelve:3 in eider to insure that this::
i
relationship would not be gubteci to challenge in the future. Thebe revsslots
s#jr
' are being
in ad e.
r~fr f~
Respectfully submitted,
C, L. Tom] fi snit
Acting Administrator
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11OAR,D OF DIRr1CTdR'
CALLh,17 MLI'1'1NG
BUSINESS MINUTES Wade etober 20, 1973 '-•1
Pago 1
The board of Directors of
! low Memorial Hospital met in 1✓xeeutive session on L _~f
r Monday, Oetobor 29, 1973, for a called meeting, Those
Present were Dr. C
Saunders harles it.
. ° Mr. Carl. Degan, Mrs. Paul Simpson
Dr. George Holladay, and Mr. Loonar
9/ Watson, Administrator, Mr, Robert lienzier
i , Mr, A, J, Testa, and Mr, John
Carter were unable to attend.
j l l I Dr. Saunders read a letter from Mr, Leonard Watson,
resigning as Administrator
of ♦low Memorial Hospital) Mr. Watson stated that he would like
official duties as soon as possible, and he fait that Mr, +rom to be relieved of his
linson was capable of
4
handling the position of Administrator on an interim basis or until a successor has been
appointed, Mr. Watson stated that he did not feet M
tt$ k r, Tomlinson would be interested
fd,+ t,; i i in the position of Administrator,
,J
There' was a motion by Dr, Holladay that the letter of
rest E
gnatton from Mr, Watson
,Fs' E< 1 1 I( be..rareopted, .that,.he.be relieved of his duties on th..e 16th of November, and that Mx.
i Tomlinson be appointed to not as Administrator until a suet
essar has been a
` The motion was ppotnted,
seconded b Mr, 'began and carried unanimously,
Respectfully submitted, {
Irv
Charles H. ,Saunders DDS
' r It Chai"Ma
p of the .Board
I•' E
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BOARD Or DI1trC'I`OItS w
v
$US{NESS MINUTES Del
Jctobcr 18, 1973 rago
The Board of Directors of 'Plow Memorial Hospital met'T`hurYday, October 18, 197
j with members present as follows; Dr. Charles 73, Saunders, Mr, John Carter, Mrs,
Paul Sim so
n
! p , Mr, Robert Henzier Dr. George Holladay, and
t Mr. A. J. Testa. Also
present were Dr. Wm. 1~, Coleman Mr, Leonard 143' .Watson, Mr, C. L. Tomlinson,
Mr, Don provost, and Mr, David Lewis Of the Denton Record Chronicle, Mr, Carl
3` ; 1 Began was unable to attend,
F
j The first order of business was the election of officers for the coming fiscal ear.
Mr. Testa moved that Dr. Saunders be reelected as Chairman of the I3oard, Mr. Carte
„ seconded the motion. Dr. Holladay moved that the nomination be closed. Mr. Testa
seconded the motion, and the vote carried. Dr, Holladay
moved that Mr. Carter be
,w t`' ; nominated as Vice-Chairman. Mr, Henzier seconded the t
motion adding that the'nomi.
f
nation be by acclamation, The motion carried. Mrs. Simpson movod.that Mr,
r I reelected ,as Sacre.tar ,of,tha Testa b
t' y .8aard. D.r, Holladay seconded the motion, and it carried
Dr. Saunders welcomed the new members to the Board,
bx. HO1laday moved that the minutes of the previous Board meeting be approved a
`F mailed to the members during the month, Mr. Tests seconded as
the motion. The vote
carried.
t,.,.
* r11
alt, Mr,' Testa gave the .Tinance Committee Report, Mr. Testa discussed
i the hinancial ~
i Statement for the year ended Septomber 30, 1073, It was agreed that the B
3 f oard wait
Get,
j until after the audit adjustments are made before taking'any action on the Financial
i ; Statement and Balance Sheet, Mr. Testa moved that the Charity and Anodically Indigent
Clu:rge-Off list for October In the amount of $2 383, 3G be approved, Mr. Carter 1
seconded the motion, and the vote carried, Mr, Testa moved that the lied Debt Charge Off list for October in the amount of $1 a, 980"93F)50 approved,
Mrs. Simpson seconded
the motion, and the vote carried, .Mil. Tom ~
ll
1 I neon reported on the latce t developments
It
regarding the proposed water well for the Ihosnital. Ile stated that the 3 HP lnim would ~f
5' ryry n\.' NIiOCI Ii e,\, hli♦ ir -_.:-.r ...cz:.r~:«.: c•C.~=s~uax.~•-_-'+-
,
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130AJID OTC' Dln CTORS
BUSINESS MINUTES o.+ october 18, 1973
Pago 2
t. produce 20 gallons of water a minute under pressure and the 5 HP Bump would produce,
" .
( 30 gallons of water a minute under pressure, The difference In cost would be + $400. 00,
Air. Carter movcd that the Administrator proceed with the drilling of a well by the
Madwell Drilling Company to include the 5 HP um
p p, cost not to exceed $80 000, Mr,
Testa seconded the motfon, and the vote carried,
Mr, Watson gave the Joint Conference' Report, Mr. Testa moved, and Mr, Carter
seconded, that the re
port be accepted. The motion carried,
tai;. " l Mr. Watson gave the Administrator's Itspor
f t. His report covered the improved
patient care and finances over the past fiscal year, the employment problem, the con-
' tinning anesthesia problem, the progress made by the 13
Laws Committee of th
€ e Medio I
r ( Staff, and the present audit being conducted by the IRS agent,
He mentioned that he and
1
Mr, Tomlinson had attended a seminar of the ACHA, and he read a letter from the
} f Comprehensive Health Planning Council in Austin concerning
his appearing in Austin on
kr November 2nd on behalf of our application for a lsdiation Thera
py Cent
or. Mr. Carter '
moved that the report be accepted, and Dr. Holladay seconded the motion, The vote f
carried. Mrs, Sim .
pson expressed her appreciation to Mr. Watson for the hospitalfs !
progress over the past year.
I'
Dr. Coleman gave the Medical Staff Report, He stated
i
that the Infections Commute
~ had met, (rnd Ur, L ,
3 .
5,, r ynn had reported on hospital cultures. Dr, McCormick reported on
the progress of the 13y-Laws ("otnmittoo, stating that they would have soimethi
sub-
mit to the staff in November, The emertTP-ncY , room coverage was also discussed, Dr.
Holladay moved that the report be accepted, Mr, Henz! r seconded the mo 1
vote carriedr tan, and the
I Mr. watsO) stated that he had tafked with Air, 'lomm
progress on tl~e l;adlation Thera Y pouts, and there has been no~
' py.Center project,
Mr-'Watson suggested that Mr, I'ottl+,s
I N,I d(
wait until after we hear from the Comprehensive I3oalth Planning Council before taking
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aoto.
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1
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BOA
111) OF 1)Il
1P"C. TORS
SUSINESS_ MINUTES agu
be toter 18, 1p7(3
r-
any further action.
Dr. Saunders moved that Mr. Testa be reelected as Chairman of the Finan c
ce
Committee, Dr. Holladay seconded the motion, and the vote carried. The other mom-
i
bers of the committee will be Mr. Doran and Mr, Carter.
~f r Dr. Saunders moved that action be deferred on the appointment of two
4 members to
the Financial Advisory Committee until after the F 1
lnanco Committee has an opportunity
to discuss Its Dr. Holladay seconded the motion, and the vote carried.
Dr. Saunders moved that Dr. Dowling and Dr, McClendon be reappolntpe to the
Medical Advisory Committee, Mrs, Simpson seconded the motion, and it carried.
Dr. Saunders moved that Mr, Henxlcr be appointed to replace Mr, Walter Ray as
the Board's representative to the Flow Foundation. Dr. Holladay seconded the motion, F
1
'~j`- { ~ and. the vote carried. I
Mr. Torn linsnn reported an the Texas Society for Hospital Administration seminar
which was held October 11th in Dallas. It pertained mainly to the has italf
p s dealing wit ~
S unions and to personnel administration,
The lion on the ~
orester Dstate was discussed. Mr. Carter moved that the note be '
E transferred from the hospital to the Flow Foundation, Dr, I•Iplladay seconded the motto
x ' and the vote carried. These fund$ will be used for the exclusive benefit of Flow Hosplta
J Mr. Tomlinson reported on the'securlty guard situation, The hospital has contract d
with Stine Security Serviced, arid the will be furnishtn' us a security guard
from
'
BOO P, M. to 7,00 A. M., seven days a week,
Mrs. Simpson gave the Legtslstive Report, She stated that no new legislation had
~ passed since last month, and the National Health Insurance proposal has been introduced,
Dr, Saunders stated that the Isxecutlve Corrirr It+ee had met, and discussed the long- ~I
s`{tYi range' plans for the hospital. Mr. Watson submitted copies, of the plans io the mornborH
.n
present, and action was deferred until next month,
11'a 9
lWl11iIA
p
•
•h.
13OARn Or DIRECTORS
~
6USINE S$ MIN-
UTES o,in Octgbcr 10, 1973 pegs 4
The meeting was adjourned.
Respectfully subm'.tted,
E
A. JA Testa
Secretary to the Board
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BOARD OF DIk'FC TORS
BUSINESS MINUTES De 16 .:ytember 25, 1974 :1
The Doard of Directors of Flow Memorial Hospital met Tuesday, September 25, h
1873, with members present as follows; Dr. Charles H. Saunders, Mr, Carl Degan,
Mrs, Paul Simpson, Dr, Charles McAdams, Mr, John Carter, and Mr, Walter Ray.
Also present were Dr, Wm. D. Coleman, Mr, Leonard E. Watson, Mr. C, L.
I
Tomlinson, Mr, Don Provost, Mr. David Lewis of the Record Chronicle, and Mr.
Tommy Fouts, Mr, A. J. Testa. was unable to attend.
Mr, Degan made a motion that the minutes of the previous Board meeting be
approved as mailed to the memLert; during the past month, Mr. Ray seconded the
motion, and the vote carried,
Mr. Fouts was present to bring the Hoard up-to-date on the Radiation Therapy j
Center project. He stated that after extensively researching the various fund raising
techniques, he would recommend that the services of a professional group be engaged
I to help us raise'these funds, This service would include a feasibility study, coshing
around $8, 000, to determine if the funds are availsblo, and if they are, this group ;I
could assist in the raising of these funds for an approximate cost of $30, 000. Mr. Fouts
s
t. felt that the cost of the feasibility study could be paid from commitments that he had
already received, and the $30, 000 could be added to the amount being raised. After a
1 spirited discussion, the Board members present reaffirmed their initial position that III
the 13oard enthusiastically supported Mr, pouts in his efforts to raise the funds to
I establish a Radiation Therapy Center at Flow, as long as the hospital's funds were not
i
involved. They also stated that If Mr. Fouts had tho funds donated to cover the cosl; of
a feasibility study, then the 13onrd would supporf'sueh a L-tudy.
Mr, began read the ]{irlance Committee Report, Mr. Carter made a motion that
the report be accepted, Mr, Ray seconded the motion, and the vote carried, Mr.
,
I
Degan moved that the August Financial Statement and Iialanue Sheet be approved, Mr.
Ray seoonded the motion, and the voti• carried. Mr, Degan moved that the Charity and I j
!j
I.' .•Y.ffiC~.tw'T.:."~~.J"'..iL^.~Y~~~L'~_^.L}Y.'H. ItC, ~ TfS:L'Y.] Y.t.. :1':u.Y..C'SYYtY.' its'~t3:9C1H:'6.Y,l:Y.Y.1:fltYTLV.'itL`YLZ:t':.Y~94Lt21 ~_:~Y_".:1Y
. r' eplY ll•OIP rr„.. er^•f,,,U.1u, i,uv' lr urp vf.
' '.11A%.t M1. d.f •t.i l:.a u 1...... .fit,
„,.ter
13OA12D Or DII11aCTORS
BUSINESS MINUTES Doc aeptembei 26, 1973 Pal 2., .z
Medically Indigent Charge-Off list for September in the amount of $47, 810, 13 and the
1
Had Debt Charge-Off list for September in the amount of $68, 962. 22 be approved
Mrs. Simpson seconded the motion, and the vote carried.
~f
Mrs. Simpson gave the Foundation Report, Mrs. Simpson moved that the report
be accepted, and Mr. Carter seconded the motion. The vote carried.
Mr. Watson gave the Joint Conference Report. Mr. Degan r,.oved that the report
be accepted, and Mr. Ray seconded the motion. The vote carried,
Mr. Watson read the Ad mint strator's Report. Mr. Ray made a motion to approve
the report, and Mr, Carter seconded the motion, The vote carried,
j Dr. Coleman gave the Medical Staff Report. He stated that the quarterly meeting
i
of the Medical Staff was held last Tuesday night, and Dr. Cooper of the physicians
! placement Group spoke at this meeting. Dr, Love gave a report to the Medical Staff
from the ,13y-Laws Committee, and tho,staff agreed that the committee s
hould proceed
~
f I along the limes of the recommendations made by the JCAH, It was reported that the
I close circuit medical education
~ program had its first presentation last week, >5r. Jama~
j
+f' R. Long, Dr. George W. Smith, Dr, James R, Jones, and Dr. A, Winston Puig were
approved for active staff privileges by the Medical ,Staff. Dr. McAdams moved that the
Board approve these doctors for active staff
privileges. Mr, began seconded the
j motion, and the vote carried.
Mr. Watson stated that the Executive Committee of the Board of Directors met
f two weeks ago concerning the establishment of a formal long range plan for the
hospital.
He hopes to have a specific plan ready for discussion at the October meeting,
ff Mrs* Simpson gave the Legislative Report. She stated that the veto of the Wage
and hour mill had been upheld so the law remains the aamo,
Dr. Saunders expressed the 13oard's appreciation to Dr, McAdams and Mr, Ray
i
for their hours of service to the Board, Mr, Ray stated that It was hid plealulre to
cirN.w,.V.o Kn.-Yew..u tnnl.u Vl k(: Ertl t0. !r , ..lu.:n ~ `dC2~ : ~y_r`.S`R l
,rte
y
BOARD OF b1111;C'1'Ono)
6USINt-SS
MINUTES
g Date Qeptomber 25, 1973 rage 3
" serve with all the 'members of the Board, although he htid been unable to attend as often
as he would have liked this
~ past year.
j mr. Ray moved that the meeting be adjourned, 'rhe vote carried,
If Respectfu)ly submitted,
1
Charles H, Saunders, DDS
Chairman of the Board
l ~
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~IIrN HI.M'I J. ATfT_SCIL~LY'L. ""1 ~^C•'•_ T'._... ,Mt lll\\I S.1 9.i .011.1\'..1 ..ll Ipl I(:. I.e .11'
• ppyspra
I' AD1bIlNIST12ATOR'S l21•;PORT
r
BUSINESS MINUTES two ' pp tember 201 197J
We are concluding this fiscal year with what 1 consider satisfactory progress being 1l
made, 1 realize that we have made great progress in some areas and in other areas
progress has not come about as quickly as we had anticipated. In view of this, I would
like to enumerate a few items that we will be devoting our attention to during the first
quarter of our year beginning October Istl
1, I feel that it is Imperative that the modernization and renovation program be
started within the first half of next year and concluded as rapidly as possible. Our
building is in great need of these repairs and modernization. In con$,,lnction with this
j program, I feel that we should be thinking about a means of financing the program in the
Ii jlaa event that Hill-Burton funding is not appropriated-, and it it is appropriated, there is a
chance, of course, that our program would not receive funding. This, other means of
funding the project would be to sell some type of bonds,
i
2, 1 think that It is important that something definite be conoluded concerning the i
ltadfation Therapy Center, I feel the longer the project is delayed, the less chance we
I have of getting it completed. '
S. All of us will be working during the next quarter correcting the deficiencies
noted .on our last J, C, A. H. Inspection. Tito Medical Staff Is making progress on the
I.
up-dating of their by-laws, and this will correct many of the points noted as deficiencie
concerning Medical Staff,
4. During the next quarter, we will be giving some thought to developing a forrial
Salary Administration Program, I feel that a formal program would be of great assist-
, f
ante to us in that employees doing like work with like responsibility, 'training, educatto '
etc, would btu grouped and paid the same salary,
The plan would also project for the.'
next 10 years the approximate ssaary increases for each position, taking Into consfdora
tion years of experience, etc, We feel that this type of plan would also be an additional
f
i moral buildor for the omployees,
t ~
I -•rsr~a-» -ern.-YZxrax~.„
H,ibFbMC IAV n., • INl 111 ll b AItOAU t, .11 AM,YIIIIAIII
. . . I4vllanUlA a
:HNt.M ;
A'KW
AD'MINISTRATORIS REPORT
v
i BUSINESS MINUTES Oni, ale tember 20, 1973 p"_g'___:2. ---ll
6. I think that all of us will need to pay close attention to tho wage and price
controls and be sensitive to what the Cost of Living Council is doing, If we see that we
are not going to be relieved from any of the controls, then I think that some of our
business structure is going to have to be changed in order for its to meet the guide-
lines of the wage and price controls as to price increases, etc,
i
5. I would like to formulize a hospital plan'to be covered in three stages. As I
see it, an immediate plan would cover the next three years, an Intermediate plan
would cover the next five years, and a long range plan to cover the next five yearrs,4 " k
i I think one of the qualitles,of any type of business is to have plans of this type so that
progress can be made in an orderly and pre-planned maem 7), and not Cn :i crash and
crisis basis, flans of this type are also one of the requirements of J, C. A, H, , and it j
is getting to be more of a requirement of local and regional stealth planning agencies.
i I I 'this helps them to know what the hospital has in mind for future developments, and i
this in turn will possibly eliminate duplication of facilities, i
I have malled to each of you a copy of soine items that could be considered In
a long range plan. Some of the items do not belong in a formal plan, but they are listed
to give.you some insight as to what our thinking is. I did not attempt to list these items
in order of importance, but to be used for your consideration and guide only. I feel
that a plan of this type should not be put together hurriedly but should be studied and the
l
Hoard be able to have definite input into the plan as well as the Medical Staff and also '
the Medical Advisory Committee.
l 71 The last item I want to mention in that we need to give close consideration and
to educate all of our people toward increased productivity. I think the most common fI
i
faint with people and departmental directors is that when they get into an Increased work,
load situation, they ask for additional employees to get the work donor and if It is a i
Lrevenuo producing department, : the next item is to increase charges in the pttient to
1 le.. E A16 .Krfrz Yea M-, r. G; 1 . .I.',v n.Yn , I r
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rim
MUM
YAVYr ti
Al
ADMINISTRATOR'S REPORT
BUSINESS MINUTES
.eptembei 200 1973 - - Pegs 3 +j
take care of the increased employees to do the work. More emphasis needs to be place
on t getting more productivity out of every employee. In fact this is gaining national
attention as there has been a committee formed called the National Commission on
Productivity which will be studying this problem; and I am sure that as this committee '
makes their studies and recommendations, these will filter down in the form of addi- i
I nal controls on hospitals. I think that if we.can begin studying the situation on a
i
local level, we will be better prepared when these controls come,
r•~
Respectfully submitted,
II
f
t Leonard E. Watson, FACHA
Administrator
E I. .
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1
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. ~ Y~~•~4r.1.LYYY_-I~~.f~'.:.iT-'~ST_2~.'i~..i:_f.~'C.S•::':1r:T:_Ti'.~YL_:2-._`~-.-..~.._ ..ft'...
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,W,Y`I W wurW
S BOARD OF D1Rb, CTOR '
BUSINESS MINUTES.. ori August 23, 1973 Palo :1 i'
The Board of Directors of Flow Memorial Hospital mot Thursday, August 23, 1073,
with members present as follows; Dr, Charles 11. Saunders, Mr. Carl Degan, Mrs,
Paul Simpson, and Dr. Charles McAdams. Also present were Dr. Wm. L. Coleman,
Mr, Leonard E. Watson, Mr. C. L, Tc,mtinson, Mr, Don Provost, Mr. John Moody of
i
1 the Record Chronicle, Mr. David Lewis of the Record Chronicle, Mr, Douglas D, Joyce
with Physicians Placement Group, and Dr. Thomas P, Cooper with Physicians Place- {
Mont Group. Those unable to attend were Mr, Walter Ray, Mr. A. J. Testa, and Mr.
f John Carter.'
I
Mr, Degan proved that the minutes of the previous Board meeting be approved as
mailed to the members during the past month.' Mrs. Simpson soeondcd the motion, and
the vote carried.
{ i Dr, Cooper and Mr. Joyce with Physicians Placement Croup discussed their servic s J
for providing physician coverage of our emergency room. The doctors they use mist , I
have a Texas licenne, must carry malpractice liability insurance, and must be approve&
~ E
for courtesy staff privileges by our Medical Staff. They provide coverage from 8 P. M.
i to 6 A. M. four nights a week and 6 P.M. Friday until 6 A. M, Monday and holidays. Th~
~f
M6 is $230, 00 for each 12 hour shift, After a goneral discussion, Dig. McAdams moved
that we contract our emergency room coverage through Physicians Placement Group on
+
a three month trial basis. Mr, Degan seconded the motion, and the vote carried,
Mr, Degan read the Finance Comitrlttee Report, Ho moved that the report be
i ( accepted, Dr'. McAdams seconded the motion, and the vote carried. Mr. Degan moved j~
I r I~
that the July Financial Statement and Baianre Sheet be approved. Mrs, Sirripsoll
seconded the motion, and the vote carried, Mr, Degan moved that the Charity and
I` Medicb!ly Indigent Charge-Off list for August in the amount of r$0, 087, 00 and the Bad
l Duut Charge-Off list for August In the amount of $4?„ 206, 73 he approved. Dr, McAdam
I
' seconded the motion, and the veto carried. Mr, Degan proved that the Administrator be
nH IS.[,19 Ir.uril,i i, d4 h.erl,ll, ir 1, . ,thy, I d
N
Ii r
1'o
I I ~ or DIRECTORS
MINUTES D,r, August 23, 1973
authorized to proceed with the purchase of a ton van, Dr, McAdams seconded the
motion, and the vote carried. It was suggested that the Administrator get three bids
i on the van, Mr. Degan moved that the Administrator be authorized to purchase an
incinerator, costing approximately $4200, Mrs. Simpson scconded the motion, and the
E ,
! vote carried, Mr. Degan moved that the Administrator be authorized to purchase P. gas
sterilizer costing approximately $4743, Dr, McAdams seconded the motion, and the
vote carried.
Mr. Watson gave the Conference Report. Dr, McAdams moved that the
the Joint
.3 ,
l
report be approved, and Mrs. Simpson seconded the motion, The vote carried.
i
Mr. Watson read the Administratorle Report. Mr. Degan moved that the report be I
approved, and Dr. McAdams seconded the r,Zotion. The vote carried,
f Dr. Coleman gave the Medical Staff Report. Ile stated that the T:xecutive Committe E
discussed the new operating room acheduling, the new system for ordering drugs from #
pharmacy, and the emergency room coverage, The application of Dr, Winston ping,
Radiologist, was approved by the Credentials and Executive Committees. Dr. McAdam
4
moved that the board approve Dr. huig as an active membnr of the Medical Staff. Mr.
began seconded the motion, and the veto carried. Dr. puig, Dr. Boots Cooper, and
Dr. C. H, Cottrell were present, and Dr, Coleman Introduced them to the Board memo ~ 8 '
Mr. Watson stated that the hospital had received a letter from the Health Facilities
Construction Section asking the hospital if they felt the need to have a representative
appear before tho Texas State Board of Health concerning our application for Hill-Burto
funds, Mr. Watson suggested that a representative not appear before this Board, and
everyone agreed,
Mr. Watsoi, also stated that the hospital had received a letter from the North Ccntral
~ITexas Council of QoVerrments endorsing our proposed Radiation Therapy Center.
Mr. Watson stated that i41•r, Tom Notts is out of town this week, and there is no
. row tl•0ltl _ .w t,µ~l}.
7 , . , 130ARD OF DIRECTOR
E BUSINESS MNUTGS helo August 23, 1073 p,
known progress on the contributions for she linear accelerator to report at this time, j
Mr. Watson reported that the Denton Benefit League has selected Flow Hospital as
the rocipient of the proceeds from their annual Benefit Bali to be held in February, 1074
i ;
They plan to buy two bathing units for the hospital,
Mr. Watson also reported that the Medical Auxiliary is giving newborn-nursery 10U
equipment to the hospital. 1
Mrs, Simpson gave the Legislative Report. She reported that the health k,are
industries will remain under Phase III until October lat. The Housa of Representatives {
and Senate have passed a Minimum Wage Bill raising the minimum viage to $1, 60 an
hour, effective 64 days after the bill io enacted; $2, 00 an hour, effective July 1; 1974;
and $2.20 an hour, effective July 1, 1976, The bill is now subject to the President's
approval.
Mr. Provost stated that the regulations used last year by Medicare holding hospital
to 109% of the previous year's costs are still in effect.
Dr, McAdams moved that the meeting be adjourned, Mr, Degan seconded the
motion, and the vote carried.
Respectfully submitted, r
Charles H, Saunders, DDS
j Chairman of the Board
~II ( ~
I h
I,
Mal
W
µ ►ADMINISTRATOR'S REPORT
BUSINESS MINUTES oar, ' August 23, 1973 Pago
The past month has been a rather slow period of time, and we anticipate this slow
period until after school starts, i
It has been mentioned previously that James A. Hamilton Associates, Inc, was in
I
the process of doing a hospital plan for the North Central Texas health planning Region.
On Wednesday of this week, I received a copy of this plan, and I would like to list the j
recommendations made by this consulting firm concerning Denton County and in particu-
lar Flow Memorial. I think that the population for the area Is significant in that the f
I population of Denton County was 31, 268 in 1910= 47, 432 in 19601 and 76, 633 in 1970.
They are projecting a population in 1076 of 9% 320 and in 1986 of 1261 340 or a growth
between 1970 and 1980 of 67%. The population forecast for 19861is 160, 000 and,for 1930
i
is 1700 000 or an increase between 1980 and 1990 of $4.6%, In 1896 the population is 3
projected to be 186, 000. To carry out the proposed inpatient expansion programs and
outpatient care developments discussed inthis plan, the following specific recommend.4-
tions are made. ' E
1. What there be no increase in Inpatient bed programs for any type of care by the
year 1976.
2. ..,That by the year 1980, independent nursing homes expand facilities and service !
to provide the not addition of 30 beds for chronic and long-term care, making
available a total of 621 such beds at that time.
That to the long-range'future, after 1980, Flow Memprial Hospital further
expand its facilities and services to provide the net addition of 122 beds, of
which 32 should be acute general, 60 chronic and long-term, and 40•psyehiatrie
and that this expansion be accomplished in three stages at approximately five- If
year intervals, giving the hospital an ultimate capacity of 303 beds, of which ii
213 should be acute general, 60 Chronic and long-totra and 40 psychiatric, I~
4. That the chronic and long-term care beds proposed at Vlow Memorial Hospital
' ~ l~.v...:.. ~.-..y.~.Y~..~r.Y.= J5Y'.'C'4.Y. 3C YY..' `'T1~G:rta'S7H ~~...:.~.ttYL'1•...."~.^'.S.:1G.'..Y'"'.SH46'YY2::'.Y}LL.. ...25 _:_.c St'... .~I
.....w ..aaa., •v.~,o-..v r.. ,nq.luH F... a. 7i..1 r a.l. i 1., 1
i
IQ-
MINI 71
i
• - ,AI)MINISTRAT&VS Rr,- PORT t
BUSINESS MINUTES o~i - Y 1 °7~
ttgust 23, 1973 Page 2 l
be primarily extended and skilled nursing care in character and that these be
{ operated either by the hospital or by a nursing home closely affiliated with the f
+ hospital.'
5. That Flow Memorial hospital, before undertaking the provision of psychiatric
beds, reassess the extent of need and the timing on such beds, taking into
account at that time the extent to which psychiatric service might still be
better provided outside the county.
S. That in the long-range future (after 1£380), independent nursing homes further
I
expand facilities and services to provide the net addition of 230 beds, all for
chronic and long-term care, providing a total of 851 such beds in nursing
homes; and that this lon;;-range expansion possibly be carried out in three
stages at approximately five-year intervals.
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j 7, That hospitals expand outpatient services as maybe needed and that at least
one or more of thee, working with the medical profession, give can'afderation
to the feasibility at some future data of establishing a healthomaintenance f
organization by which more comprehensive care may be provided to the people, ' I
} In order to fill in the voids In these recommendations, I think that it is of particular
i significance and urgency that a definite hospital plan be projected for Flow Memorial.
I think that it is of utmost importance that the goals be establish ,;1 that are understood
by both at,ninistration and the Board so that we can all be working in the same
direction.
Respectfully submitted,
! <ti~~~J ~.L ' I
Leonard Z Watson, FACHA ~
Adminlstrator
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